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Dual Eligible Special Needs Plan (D-SNP) Model of Care

Dual-eligible beneficiaries are one of the most clinically complex populations in the nation, with their high rates of comorbid conditions, disability and mental illness. As a plan serving this population, you must not only manage the complexity of patient care, you must do so while meeting stringent regulations and controlling costs.

Comply

Many plans are challenged with the multifaceted CMS regulations of the D-SNP Model of Care. To help you meet these rigorous care delivery imperatives, we’ve developed a fully compliant care coordination solution that includes all of the required tools: health risk assessment, individualized care plan, interdisciplinary care team, stratification, transition management, and ongoing care management and reporting. Working to seamlessly interface with your team, we deliver the highest level of support to your most vulnerable members while ensuring compliance with all care coordination requirements.

Stratify

We have extensive experience with the advanced level of care coordination required for dual-eligible beneficiaries. Our licensed clinicians are trained in our unique biopsychosocial approach (DSST), providing medical, behavioral and social support across all interventions. We apply advanced informatics to analyze and stratify members into appropriate levels of care, ensuring the right resources are applied appropriately throughout your population.

Scale

Our skilled team is backed by essential tools, enabling us to scale quickly, work efficiently and grow as you do. From the initial health risk assessment to managing a transition in care, our system produces automated workflows to streamline productivity and place the focus on the needs of your members. With our analytics, we constantly monitor member risk and realign care levels seamlessly when appropriate.

Contact us today to learn more about how our D-SNP Model of Care Solution can benefit your health plan and its members.

About Health Integrated, an EXL company

Health Integrated® leads the industry with Precision Empowered Care Management, enabling health plans to precisely manage their most vulnerable members. By combining actionable big data with a proven biopsychosocial model, we address the physical, psychological and social drivers impacting member health and satisfaction. As a result, plans enhance quality, achieve compliance and strengthen their financial performance, while empowering members to achieve better outcomes.